| 12/18/2013 |
| 08:15:47 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| QUINTANILLA, JO, | 17-009798 | R | 64.84 | 5516********8474 | 015111 | 12/18/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 64.84 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 64.84 |